Provider Demographics
NPI:1437236692
Name:RAVI K MALPANI MD INC
Entity Type:Organization
Organization Name:RAVI K MALPANI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:K
Authorized Official - Last Name:MALPANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-634-6417
Mailing Address - Street 1:1044 SW 44TH ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3609
Mailing Address - Country:US
Mailing Address - Phone:405-634-6417
Mailing Address - Fax:405-632-7774
Practice Address - Street 1:1044 SW 44TH ST
Practice Address - Street 2:SUITE 410
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3609
Practice Address - Country:US
Practice Address - Phone:405-634-6417
Practice Address - Fax:405-632-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12768207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty